Form Tc-303 - Motor Vehicle Salesperson Application Form

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Utah State Tax Commission
TC-303
Rev. 10/13
Motor Vehicle Salesperson Application
Sales license number



New - $56
Renewal - $31 OR
Renewal - $56 if salesperson license has been
or transfer
expired/suspended for two months or more.
First name
Middle name
Last name
Alias/maiden name
Home address (physical address, not P.O. box)
City
State
ZIP Code
Home telephone number
Work telephone number
Citizenship
Date of birth
Social Security Number
Gender
Height
Weight
Race
Eye color
Hair color
Male
Female
ft.
in.
Place of birth
Driver’s license number
State of issue
1. List at least five years of employment history, including dates. Also list any dealer or salesperson license you have
held and if the license has ever been denied, suspended or revoked:
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
2. During the past 10 years, have you been charged with, found in violation of, or convicted of any misdemeanors or felonies
in Utah or in any other state? This includes any charges to which a “plea in abeyance,” or a guilty plea, are entered. You
are not required to disclose simple traffic infractions.
Yes
No
Failure to disclose any of the requested information may result in suspension or revocation of this license.
A charge, violation of, or criminal conviction for a motor vehicle or drug-related crime, fraud or registered
sex offense can be grounds for denial, suspension or revocation of your application or license, even if the
plea is held in abeyance. Attach additional pages if needed.
If yes, list each, including dates: (A copy of your criminal history, provided by BCI, may be attached, if each page is
signed by the owner of the dealership.)
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
3. Are you currently on probation or parole, court
Do you still owe restitution?
Yes
No
supervision of any kind, or in a “plea in abeyance”?
Yes
No
If yes, state what type and from which event from your criminal history:
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
4. Employing dealer number: __ __ _ __ __ _
Dealer name: ____ ___ ___ ____ ___ ____ ___ _
Applicant and employer must complete the reverse side.

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